Utilization and Treatment Guidelines

Montana Utilization and Treatment Guidelines (www.mtguidelines.com)

UPDATE (April 24, 2014)

Effective April 24, 2014, the Montana Employment Relations Division has published proposed updates to the Montana medical fee schedules, including both the Professional Fee Schedule and the Facility Fee Schedule, and the Montana Utilization and Treatment Guidelines.

A formal administrative rules process allows for public input and comment prior to adoption of the proposed fee schedules.  On June 11​, 2014, at 1:00 p.m., the Department will hold a public hearing in the Sanders Auditorium of the Department of Public Health and Human Services (DPHHS) Building, 111 North Sanders Street, Helena, Montana, to consider the proposed amendments to the rules. The public comment period is open until June 6, 2014.

To view the proposed fee schedules, please visit the related fee schedule page (see column at right).

To view the proposed administrative rules, please click the link below:

Proposed Changes to Montana Medical Fee Schedule Administrative Rules

To view the three proposed updated utilization and treatment guideline, please click the links below:

Administrative Rules

Montana Utilization and Treatment Guidelines Select Administrative Rules Effective 7-1-2011

This document is provided as a customer service.  It includes the five new administrative rules that adopt and implement the U&T guidelines and select existing rules that were amended to coordinate with the U&T guidelines.  It does not include all workers' compensation medical services rules that are applicable to medical service provided on or after 7-1-11.  In the event of a discrepancy between this document and the official printed text of the rules maintained by the Secretary of State, the official printed text will be considered correct.

Montana Guidelines - Printed Copies

The Montana Utilization and Treatment Guidelines are available in a printed and spiral bound two-volume set for the cost of production.   Volume 1 contains the guidelines for Low Back Pain, Shoulder Injury, Upper Extremity, and Lower Extremity.  Volume 2 contains the guidelines for Complex Regional Pain Syndrome, Cervical Spine Injury, Chronic Pain, Traumatic Brain Injury, and Eye Injury.  The cost is $100 (includes shipping).  To order, e-mail Anne Wolfinger (awolfinger@mt.gov).


For more information on the Montana Guidelines, contact Maralyn Lytle, mlytle@mt.gov, (406) 444-6604

Last Modified: Thursday, June 19, 2014

Related Links



Independent Medical Review Processhttp://erd.dli.mt.gov/utilization-and-treatment-guidelines/independent-medical-review-processIndependent Medical Review Process
Independent Medical Review Request Formhttp://erd.dli.mt.gov/utilization-and-treatment-guidelines/independent-medical-review-request-formIndependent Medical Review Request Form
MT Guidelineshttp://erd.dli.mt.gov/utilization-and-treatment-guidelines/mt-guidelinesMT Guidelineshttp://mtguidelines.com/MedPro/BrowseChapters.aspx?cps=MT, http://mtguidelines.com/MedPro/BrowseChapters.aspx?cps=MT
Unproven Medical Procedures And Treatmenthttp://erd.dli.mt.gov/utilization-and-treatment-guidelines/unproven-medical-proceduresUnproven Medical Procedures And Treatment

Utilization and Treatment Guidelines